Individual
DEANNA LYNNE HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-8335
Mailing address
2101 COURAGE DR, FAIRFIELD, CA 94533-6717
(707) 784-8335
(707) 399-4957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
89047
CA
104100000X
Social Worker
Primary
130521
CA
104100000X
Social Worker
89047
CA
1041C0700X
Clinical Social Worker
89047
CA
Other
Enumeration date
03/08/2021
Last updated
06/02/2025
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